Organization · Type 2 NPI

Gemini Concepts, Inc

Chiropractor · Southlake, TX

NPI number 1194745943 Active

Practice location

680 N Carroll Ave, Suite 120
Southlake, TX 76092-6475

Call (817) 421-9111 Map

Fax (817) 421-9222

Mailing address

PO Box 92248
Southlake, TX 76092-0103

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	6658 (TX)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

3 other providers at this address

Other chiropractor providers in Southlake

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NPI record

NPI: 1194745943
Entity type: Organization (Type 2)
Issued: Jul 21, 2006
Last updated: Nov 30, 2007
Status: Active
Subpart: Yes of Gemini Concepts, Inc

Other names

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Back In Action Spinal Decompression Center · other name

Authorized official

Greg Davidovich, DC
Owner/provider
(817) 421-9111

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194745943

Gemini Concepts, Inc's National Provider Identifier is 1194745943, issued on Jul 21, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Southlake, TX. The record was last updated on Nov 30, 2007.